Brisbane Gynaecology & Women’s Health Specialist
Dr James strives to make your experience as comfortable, respectful, and supportive as possible. He believes in a holistic, patient-centred approach.
Holistic and Clinically Excellent Care
Dr James believes in a holistic, patient-centred approach, where care is not only clinically excellent, but also collaborative. You’ll be empowered to take an active role in your treatment with clear communication, individualised advice and compassionate support at every step.
Dr James is a highly experienced gynaecological surgeon, regularly performing complex laparoscopic procedures to treat conditions such as endometriosis, fibroids, ovarian pathology and infertility, as well as for hysterectomy.
He also offers expert management of pelvic organ prolapse, urinary incontinence, and surgical options for women seeking restorative care.
Menopause is another significant and often challenging transition in a woman’s life. Dr James provides personalised, evidence-based support to help you navigate this stage of life with confidence and clarity.
Common Gynaecological Complications
Painful Menstrual Periods (Dysmenorrhea)
While all women can feel some discomfort during their periods, painful menses can be so severe that it stops you from enjoying your day to day. Such painful periods are known as dysmenorrhea, which is a common condition with 10% of women experiencing it.
Severe dysmenorrhea can indicate the presence of Endometriosis, or Pelvic Inflammatory Disease.
Endometriosis
When pregnancy does not occur each month, the uterus sheds its tissue with bleeding. Endometriosis occurs when these cells move to other parts of the body. Endometriosis can form in any part of the body but is most commonly found in the pelvis. Although this tissue is away from the uterus, it still responds to cycle changes. Messages from your ovary tell this tissue to act as it normally would, which means it gets filled, and it bleeds when you have a period. This can cause all sorts of symptoms, including painful periods, heavy bleeding, bleeding during or after sex, pain during or after sex, etc. Endometriosis is a common disorder with 1 in 10 women experiencing it. Endometriosis can be chronic if left untreated but usually goes away following menopause. Endometriosis is oestrogen dependent, which is a reproductive hormone which is released from when you first get your period, to when you go through menopause. Medical care for endometriosis is a most often a procedure commonly performed in hospital and is the most effective form of treatment.
Pelvic Inflammatory Disease (PID)
PID is an infection of the uterus, fallopian tubes, and/ or the ovaries in women. PID is a syndrome consisting of a spectrum of inflammatory disorders of the upper female genital tract, including any combination of endometriosis, salpingitis, tubo-ovarian abscess and pelvic peritonitis. PID can cause lower abdominal and pelvic pain, pain during sex, abnormal vaginal discharge, fevers and chills, bleeding after sex, or between periods. Treatment is often a 14 day course of a combination of antibiotics, and it’s often recommended not to have sex for a week after commencing treatment.
Heavy Menstrual Bleeding
Heavy periods, also known as menorrhagia, affects 1 in 5 women in Australia and New Zealand. Menorrhagia is signified by an unusual increase in menstrual blood loss, menses lasting more than 7 days, frequent flooding, increase in the number of times you have to change your pads or tampons (more than every 4 hours or more than once during the night), passing blood clots that are larger than 3cm, iron deficiency of the blood due to excessive blood loss. Menorrhagia can be caused by Dysfunctional Uterine Bleeding, Fibroids, Endometrial Polyps, Endometrial Hyperplasia, Adenomyosis, and a few other very rare causes. Dysfunctional uterine bleeding is diagnosed when no abnormalities of the uterus is found. More than half of women with heavy menstrual bleeding are diagnosed with dysfunctional uterine bleeding. Dysfunctional uterine bleeding is probably related to a problem with blood levels of female hormones that control menstruation and throughout your cycle, these hormone levels are changing constantly.
Specific Uterine Conditions
Fibroids & Endometrial Polyps
Fibroids: Fibroids are non-cancerous growths of the muscle and connective-tissue cells in the wall of the uterus. They can cause undesirable symptoms including heavy menstrual bleeding and abdominal pain. Smaller fibroids often don’t cause any problems at all. Where a patient is symptomatic, the doctor may recommend a procedure to remove the fibroids, such as a Myomectomy.
Endometrial Polyps: Polyps are non-cancerous growths which occur on the lining of the uterus. They can sometimes cause inconvenient symptoms in which case the doctor might recommend a procedure to remove them.
Endometrial Hyperplasia & Adenomyosis
Endometrial Hyperplasia: Endometrial hyperplasia is a thickening of the uterus, otherwise known as the endometrium which often leads to heavier bleeding. Endometrial Hyperplasia can present in two ways, hyperplasia without atypia, and hyperplasia with atypia.
Adenomyosis: Adenomyosis is an enlargement of the uterus caused by growth of the endometrium into the wall of the uterus. Adenomyosis is only found in pre-menopausal women as it is estrogen dependent. It does eventually go away with menopause. Adenomyosis can occur with endometriosis. Women with this condition might have heavy periods, painful periods, pain during intercourse, bleeding between periods and lethargy due to anaemia.
Surgery and Procedures
If you are in need of gynaecological surgery, you can rest assured that you are in very safe and experienced hands with Dr James. He has worked for many years in women’s health care in Sydney and through Southeast Queensland, and has a passion for precision gynaecological surgery. With an impressive surgical background marked by extensive training and specialisation, Dr James carries both the depth of expertise and the woman-centred approach that Brisbane women seek in a surgeon.
His practice is not just about technical proficiency; it’s about creating a warm, patient- centred environment where every woman feels listened to, valued, and thoroughly cared for. Dr James takes the time to ensure that his patients are fully informed and comfortable throughout their health journey, making complex medical conversations more accessible and less daunting.
Dr James is commitment to achieving the best possible outcomes for his patients with a focus on how health impacts every sphere of his patient’s wellbeing. His collaborative work with a broad network of specialists ensures comprehensive care, meeting the diverse needs of his patients. From addressing endometriosis, to performing life-changing surgeries like hysterectomies, Dr James approaches all procedures with skill and attention to detail.
Common Gynaecological Surgeries & Treatments
Advanced Laparoscopic Surgery (Keyhole Surgery):
This state-of-the-art, minimally invasive technique involves small incisions, leading to reduced scarring, less post-operative pain, and quicker recovery times. It’s especially effective for complex conditions requiring precise intervention.
Comprehensive Hysteroscopy:
Beyond diagnostic capabilities, hysteroscopy allows for the direct treatment of various uterine conditions. This procedure is integral in managing abnormal uterine bleeding, removing fibroids or polyps, and investigating recurrent miscarriages.
Targeted Laparoscopic Resection of Endometriosis:
ailored for both the diagnosis and removal of endometriosis tissue, this surgery is pivotal for alleviating chronic pain and enhancing fertility prospects in affected women.
Customised Hysterectomy Options:
Whether the approach be laparoscopic, abdominal, or vaginal, Dr.James provides compassionate guidance on choosing the hysterectomy method best suited to your condition, lifestyle, and recovery preferences.
Fibroid Management via Myomectomy:
Focusing on preserving fertility and uterine integrity, myomectomy offers a specialised approach to fibroid removal, employing minimally invasive techniques whenever possible.
Ovarian Cystectomy and Management:
Utilising laparoscopy for precision, ovarian cyst surgery aims to remove cysts while maintaining ovarian health, essential for hormonal balance and fertility.
Fertility Restoration through Tubal Ligation Reversal:
Offering hope to those wishing to conceive after undergoing sterilisation, this procedure seeks to restore fertility by rejoining the fallopian tubes.
LLETZ Procedure for Cervical Health:
Leveraging advanced techniques to remove precancerous cells from the cervix, this procedure is a proactive step towards preventing cervical cancer.
Mirena IUD Insertion for Treatment:
serving as a treatment for pain and heavy menstrual bleeding, the Mirena IUD is a versatile option for managing women’s health.
Our Gynaecology Fees and Bookings
Consultation Fee Schedule
| Service | Cost | Medicare Rebate |
|---|---|---|
| Initial Consult | $325 | $86.15 |
| Follow up | $200 | $71.25 |
| Telehealth | $95 | No Medicare rebate |
For a more detailed and accurate quote tailored to your individual needs, we invite you to contact our team.
Our staff are happy to discuss your appointment and provide a personalised estimate based on your specific circumstances, including if you are uninsured or do not have a Medicare card.